| The Center For Independencellc Behavioral Health And Sport Performance | |
|
1600 E Royalton Rd Broadview Heights OH 44147-2549 | |
| (216) 402-8200 | |
| Not Available |
| Full Name | The Center For Independencellc Behavioral Health And Sport Performance |
|---|---|
| Speciality | Counselor |
| Location | 1600 E Royalton Rd, Broadview Heights, Ohio |
| Authorized Official Name and Position | Nancy Lynn Musarra (OWNER) |
| Authorized Official Contact | 2164028200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Independencellc Behavioral Health And Sport Performance 8137 Bishops Ct Broadview Hts OH 44147 Ph: (216) 402-8200 | The Center For Independencellc Behavioral Health And Sport Performance 1600 E Royalton Rd Broadview Heights OH 44147-2549 Ph: (216) 402-8200 |
| NPI Number | 1679545479 |
|---|---|
| Provider Enumeration Date | 02/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679545479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | E0001871 (Ohio) | Primary |
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